HYDATIC CARDIAC SYST: AN EXCEPTIONAL LOCATION

Abstract

Hydatid cyst is a parasitic disease endemic in different regions of the world. Cardiac localization represents only 0.5 to 2% of all attacks, characterized by clinical, paraclinical and especially radiological polymorphism. Its spontaneous development is serious because of the risk of endocavity rupture. The diagnosis is facilitated by means of non-invasive imaging, in particular echocardiography, thoracic computed tomography and magnetic resonance imaging. Given the lack of alternative treatment options, cystectomy and pericystectomy are the only surgical techniques capable of offering chances of recovery with acceptable morbidity and mortality. Antiparasitic treatment comes in addition to surgery. Eradication of hydatid disease mainly involves effective collective and individual preventive measures. We present a clinical case of a 54-year-old patient who presented with asthenia followed by precordial pain, who has a normal EKG and chest x-ray. Transthoracic echocardiography (TTE) a mass that bulges in the lateral aspect of the left heart chambers. The thoracic tomodensitometry objectified a cystic image which bulges in the left cardiac chambers suggesting a cardiac hydatid cyst. A hypereosinophilia was objective in the biological assessment. The patient was sent to the cardiovascular surgery department for surgery. We present a clinical case of a 54-year-old patient who presented with asthenia followed by precordial pain, who has a normal EKG and chest x-ray. Transthoracic echocardiography (TTE) a mass that bulges in the lateral aspect of the left heart chambers. The thoracic tomodensitometry objectified a cystic image which bulges in the left cardiac chambers suggesting a cardiac hydatid cyst. A hypereosinophilia was objective in the biological assessment. The patient was sent to the cardiovascular surgery department for surgery. We present a clinical case of a 54-year-old patient who presented with asthenia followed by precordial pain, who has a normal EKG and chest x-ray. Transthoracic echocardiography (TTE) a mass that bulges in the lateral aspect of the left heart chambers. The thoracic tomodensitometry objectified a cystic image which bulges in the left cardiac chambers suggesting a cardiac hydatid cyst. A hypereosinophilia was objective in the biological assessment. The patient was sent to the cardiovascular surgery department for surgery. Transthoracic echocardiography (TTE) a mass that bulges in the lateral aspect of the left heart chambers. The thoracic tomodensitometry objectified a cystic image which bulges in the left cardiac chambers suggesting a cardiac hydatid cyst. A hypereosinophilia was objective in the biological assessment. The patient was sent to the cardiovascular surgery department for surgery. Transthoracic echocardiography (TTE) a mass that bulges in the lateral aspect of the left heart chambers. The thoracic tomodensitometry objectified a cystic image which bulges in the left cardiac chambers suggesting a cardiac hydatid cyst. A hypereosinophilia was objective in the biological assessment. The patient was sent to the cardiovascular surgery department for surgery.